Outpatient

It finally happened: Monday morning I was deemed medically stable enough for discharge from the inpatient section of Shepherd after just better than seven weeks. Just prior to discharge I had a graduation ceremony in the gym, during which music chosen by me (Everybody Wants to Rule the World) was played, and then faded to background while I was feted by my therapists (occupational, physical and recreational) for my various accomplishments, and festooned with such honors as "Most likely to drop the F-bomb during therapy", "Rule Breaker", and, my favorite, "Most likely to be seen with loafers in therapy" (Thanks, Craig). Naturally, there were no dry eyes (or Depends) following my acceptance speech and unsolicited words of advice to those still in therapy. Having decided to pursue outpatient rehab here as well, we (i.e. Nancy) moved all our belongings and medical supplies to our new home in an apartment adjacent to the main facility provided by Shepherd, and settled in for our first night together since the mishap with no backup. It was just the two of us with no one to help with the various transfers, bathroom activities, shopping, food preparation, making the bed, doing laundry, etcetera. No big deal for me, but a huge burden suddenly dropped into the lap of Nancy, and one to which she has adapted amazingly, and for which I continue to be grateful (let's just say I owe her bigly).
Rather than going home and taking daily therapy nearby, we decided that it made more sense for me to engage in more intensive rehab here, an area where Shepherd shines. My first day was taken up by meeting with the various team members and listing my goals for rehab (return to work, learn to drive with hand controls, improve proficiency of transfers to where I can safely do them independently, operate a hand bike, to name a few). The following day is when the rubber hit the road, and I spent an hour or more each doing individualized PT, OT, strengthening exercises, and endurance training, all with the aim of helping me meet my goals by the time I roll out of here. And so it has been everyday since then such that by the time I slowly make my way back to our apartment at the end of the day I feel like a Twizzler that's been left out in the sun all day. But I do believe it's paying off, and we've had no second thoughts about this decision. I'll be meeting with my team next week to hear how long they think it will take for me to meet my goals, and will keep you posted.
Meanwhile, another milestone today: I transferred into the passenger seat of a car, and Nancy and I drove around the greater Atlanta area, running errands, touring neighborhoods, and getting lunch at a fabulous Ethiopian restaurant. It felt almost normal to be out and about, although it did confirm for me the impression that most people in public like to smile at people in wheelchairs, like, to an insane degree. We had to ask someone to get up from their chair and move it so we could exit the restaurant, and as soon as they saw that it was for someone in a wheelchair, they all smiled and moved as quickly as possible to accommodate me. Not that I'm complaining, since I like being smiled at, but I sometimes wonder whether it's because they feel sorry for me, or that the wheelchair makes them uncomfortable, or that it's just my raw, late-middle-age sex appeal. In any case, just an observation, one I'll perhaps explore in more detail in another missive.
George and Melissa Orlov, neighbors and close friends from Chautauqua, travelled from afar last weekend to visit us, and we had fun together over good food and drink. So nice for Chautauqua to come to us even if we can't quite yet make it back to Chautauqua. We were also the beneficiaries of a "food train" set up for us by Leslie Renjillian, who arranged for generous Atlanta-based Chautauquans to provide dinner for us twice a week for the duration of our stay here. We are so appreciative for the kindness of strangers and friends, and hope to be able to reciprocate next summer.
And finally, a huge thank you to Jim and Jimmy Kivlighan who have been caring for our dogs and cats, as well as bringing in the mail and looking after our Staunton home. So comforting to know our beloved pooches are getting the love and care they need, even if it isn't from us. As much as we miss our friends, we miss our animals more. Those of you who have ever had pets will understand this sentiment. The rest of you I hope will not take offense (but should strongly consider becoming a pet owner).

Comments (35)
Woohoo! What great news! So glad to know you are charging ahead, damning the torpedoes and clearing a swath before you in the restaurants. It must be fantastic to see some normalcy returning to your life. Nancy continues to be the kind of Godsend that we all hope we have by our side when going through life's trials. Second only to our pets, I know. Sending you a big hug!
So happy to hear of your progress to outpatient status. Keep up with the hard work and you will soon be back in the beautiful Shenandoah Valley!
Wow! That’s incredible! Glad you are outpatient and doing so well! Thoughts and prayers continue! Stay strong and power through! Please let us know if we can help y’all in any way! Martha and Steve McDonough
An entirely delightful update, Rob. You and Nancy are amazing. I suspect people have always been smiling at you -- you just have a better perspective now.
Ditto.... you and Nancy are amazing! You are in a very good place and am so glad to hear of the transition. Now that you are on the loose Atlanta better watch out. I’m often wrong but never in doubt and believe that when given a choice attribute all to sex appeal. Rob, good and inspiring work.
Thanks for the update, Rob...I just knew something BIG had happened when we hadn't heard from you in a while. Congratulations! And take it from me it's your 'middle aged sex appeal' that's causing all the smiles!
Another wonderful update Rob!! As they say, behind every great man is a great woman!! As for the smiles, now that you are so buff, it’s definitely the sex appeal!!!
I vote for sex appeal!!! So proud of you and happy for you to be making such progress!!! Those Sherwood friends sure are the best- and the Kivlighans are the best of the best!!!
What a wonderful update and so happy you guys are able to settle into your new abode! Love hearing about your daily activities and adore your utterly fabulous sense of humor! Continued prayers on your outpatient goals and for the entire Kyler family. Please send my love to Jordan, especially! Take care, Jane Dekle
Congratulations on your graduation! I know you worked hard for it and suspect you have new muscles to prove it! I’m sure everyone was smiling at your kind eyes and mischievous grin...or maybe they heard that you are the king of f- bombs! Enjoy your new digs and continue to celebrate all your accomplishments, especially snagging that awesome wife of yours! Hugs to you both...
Congratulations, Dr. Kyler! So happy to hear of your progress and look forward to you returning to your life in Virginia. I appreciate you keeping everyone posted and think of you often. Wishing you a continued healing :)
We are smiling at you Rob as we read this update! You omitted doing wheelies from you goals but that can come later. Among your many blessings is that you have Nancy in your life. ❤️ Ann and Mats
You both are amazing people.. even before this unfortunate accident... one could only hope to be as strong, kind, easy going, and keep a smile during such difficulties! You both are an inspiration to us all! So glad to hear your progress and continue praying for you all.. kids and animals included! Sending love and hugs from Virginia!♥️ Cannot wait to have you back on your home soil!😉😘🙏♥️
Congratulations to you for your incredible progress and hugs to Nancy for all her hard work also. We look for dwarf to seeing you back in Staunton.
Probably not the sex appeal.
So happy to hear of your progress!!! I think of you everyday and know that you will be determined and steadfast in accomplishing your goals...you were never someone to just sit around and wait 😜 Please let me know if there is any thing I can do for you in Staunton. Thinking of you and Nancy and wishing you both love and care.
Rob - great to hear your progress. If ever your pet people need a break we could take care of them too. Kay
Bob, your writing is so inspiring, sobering, funny, harsh, and insightful. I hope you will turn this into a book to share with the world, one that the world needs to read. Already my perceptions have changed because of you. Thank you and stay well, keep going, take care and I look forward to more of your work. All our best to you and Nancy from Harriet and Peter.
AMAZING PROGRESS! I am so proud of you and all you are accomplishing. Freedom to be with Nancy has to be awesome. Enjoy her company and your space. Keep on Keeping on!!!
Congratulations Rob and lots of love to all of you!!!
Such great, inspiring writing , did you ponder being an English professor before deciding on MD ? You have a second calling ! At first I thought that people were smiling because of the “twizzler left out in the sun” but then decided must be the “raw middle age sex appeal “ Either way they are smiling . Great news to be in outpt and on the next journey ! We look forward to you next missive !Lu
We are so glad to read this latest note and to learn that you are getting this outpatient therapy at Shepherd -- they are so good! And I would just like to say that when you get old and need (#^*#) a cane, people smile and are very nice - even offer help (#^!). Good luck especially with the driving - I think that is pretty hard - but not for you. Good luck and love to all! Jane and Pres.
YAY!!!! Such profound progress! Which I am not surprised by at all. You are always great at everything you do...Overachiever -insert eye roll- and why am I also not surprised by your food choice, or your smart ass wonderful sense of humor! I'm so glad to see that the things we love you for have not changed. You continue to be an amazing inspiration to everyone that knows you! Congrats on out patient, you'll be home before you know it, and we can't wait! Lots of love-Jenny PS- Nancy has put up w you this long do you really think there's anything harder than that? of course she rocked this! LOL :)
Hey, Rob. Great to hear of such progress. I don't think anyone had the least doubt you'd be up to each ensuing challenge. You're satisfying our great expectations. No doubt if the smiles from well meaning strangers get to be too much you can give them a reason to instead glare at you by gracing them with a well chosen snark or two. But since each of them has a back story as well you'll doubtless choose such snarks discreetly. ;-) Love the pictures of the folks you're encountering on this journey. Looks like a wonderful crew of people you're getting to meet and work with. All the best to you in your continuing onslaught on the future!! -Greg
Well done! Congratulations!
I deeply believe it's that handsome face of yours and the sex appeal. If they knew you, the essence of you, they would or could never feel sorry for someone with such determination and drive! I have never felt sorry for one in a wheelchair, I gladly give way out of respect for their mode of mobility. If they sit in a wheelchair, it's proof that they are never giving up and will push on through the rest of their life regardless of how they must do it. A symbol of hope, if you will. You are amazing and a beacon of light and hope for everyone. Love and hugs to you and yours.
Great to hear about your move, graduation and progress. Of course a big thanks to Nancy! It’s so good to read your posts and see the great photos. You’re an amazing inspiration!
Without a doubt, it is your raw, late-middle-age sex appeal. also: GO NANCY!!! Adventures abound!
Congratulations, Rob. What a huge accomplishment. We wish you all the best as you get closer to your goal of fully participating in your practice, biking again, and a new found independence. Please give our best to Nancy. What a rock she has been and continues to be.
I hope that you'll continue the updates - with all of the details! Your storytelling and humor has been refreshing in these turbulent times! Keep the missives coming!
Rob, you are one tough fellow (feller in w.v.speak) . the computer keep telling I can't spell worth a damn. Strange that's exactly what a college professor told me. Oh shit, what does a computer know about me? i I am glad to say it doesn't know jack shit about my fishing abilities. I'll bet I can land more fish than it can. you can't believe how excited I am about your improvement and your ability to stick with it. Trust me my boy, you have to come out on the other side. As soon as you allow to we will have to get together and swill some black jack.I know damn well you will be able to do that. Right? If there is anything I can do for Nancy or the kids I trust they will let me know.
Awesome! What great progress you have made. You will quickly hone your navigational skills and be ready to take on the world! You are truly an inspiration with your upbeat attitude and determination! Wishing continued success as you take the next step in your recovery!
Dr. Kyler although I had heard about your accident about a month ago from Dr. Cruz I just learned about your blog this morning. First I am so sorry about your accident and the challenges you have been left to deal with, but have found inspiration in your posts (I have read them all). Having had you as my doctor and debating treatment with you 🙂, I have no doubt you will be blazing a trail for others to follow. I think if you often and am sending positive vibes that you continue to progress and return hone to Staunton soon. We have an appointment in December I’m going to hold you to it 🙂 One last note about your entries ... I love the detail. I actually write in a similar style ... example.... I take students to Haiti for economic development projects and once I posted my thirteen step process used to take a cold shower. Very linear and detailed... your writing makes me smile because it’s descriptive and detailed. You are a great writer!!!! And a great doctor!!!! I am a fan of both. Rebecca Evans
Go Nancy! Good driving and moving and carrying on! Oh yeah, and you too Rob. Great going with the Ethiopian food and the apartment and the F bombs especially. And I’m sure it’s your sex appeal that’s getting all the smiles, Rob. Keep us posted with the view from the chair. It’s really interesting to hear. People have no clue about how to behave, so maybe you can pass along some insights. Very glad to hear you’re back out in the world. The pics are great. Send a pic of your hand bike when you get one. xo Ellen
Rob I just found out today by one of the engineers. Your outlook is to be praised and our thoughts and prayers are with you. Glad to see you have your sense of humor ?” Sex appeal” I appreciate it if I can follow your journey as your words are uplifting. You are right, you will owe your wife big time! Ron Kersh